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Forssell, Jannice
Publications (1 of 1) Show all publications
Rutegård, M., Gerdin, A., Forssell, J., Sjöström, O., Söderström, A. & Boström, P. (2024). Robotic low anterior resection with complete splenic flexure mobilization and defunctioning left-sided loop colostomy: a case series. Journal of Surgical Case Reports, 2024(1), Article ID rjad709.
Open this publication in new window or tab >>Robotic low anterior resection with complete splenic flexure mobilization and defunctioning left-sided loop colostomy: a case series
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2024 (English)In: Journal of Surgical Case Reports, E-ISSN 2042-8812, Vol. 2024, no 1, article id rjad709Article in journal (Refereed) Published
Abstract [en]

A defunctioning stoma is used to alleviate the consequences of anastomotic leakage after low anterior resection for rectal cancer. A loop ileostomy is often preferred but may lead to dehydration and kidney injury. Here, we present a case series for an alternative: the left-sided loop colostomy. A convenience sample of four patients underwent robotic low anterior resection for rectal cancer. A complete splenic flexure mobilization and a total mesorectal excision were performed. To defunction the anastomosis, the redundant left colon was brought up to a stoma site in the left iliac fossa and matured as a loop colostomy. Two patients experienced minor stoma leaks and one also had a small prolapse, while all patients had their colostomies reversed on average 7 months after surgery without complications. There were no dehydration episodes and creatinine levels remained within baseline levels at end of follow-up (on average 18 months).

Place, publisher, year, edition, pages
Oxford University Press, 2024
Keywords
anastomotic leakage, defunctioning stoma, loop stoma, total mesorectal excision
National Category
Surgery
Identifiers
urn:nbn:se:umu:diva-220445 (URN)10.1093/jscr/rjad709 (DOI)001141131100005 ()2-s2.0-85183294769 (Scopus ID)
Funder
Region Västerbotten, HSN 530-2022
Available from: 2024-02-15 Created: 2024-02-15 Last updated: 2025-03-20Bibliographically approved
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